Alumni Award Nominations

All Einstein alumni and faculty are invited to submit nominations for these awards and we encourage your participation.

* required

Nominator Information

First Name *:

Last Name *:

Class Year *:

Email Address *:


Candidate Information

First Name *:

Last Name *:

Degree(s) *:

Class Year *:

Specialty/Area of Research *:

Award for which this person is being nominated *

Other relevant information

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